Referrals
Dudley Children's SLT service has an open referral system. This means that anyone (including parents) can refer a child to the Service by contacting the Speech and Language Therapy department, if a child has an identified Speech, Language, and Communication need or Eating Drinking and Swallowing need.
Please note that further advice or recommendations may be given before a referral is accepted.
Professionals: Please return all completed forms to us at the following address: Speech and Language Therapy Department, Brierley Hill Health and Social Care Centre, Venture Way, DY5 1RU or via email at
Preschool Speech and Language Therapy Referrals
Professionals: To make a referral, simply choose the child’s age group below and download the appropriate form to complete.
- 18 months - 2 years old referral form.
- 2 years - 3 years old referral form.
- 3 years - 4 years old referral form.
Parents: Please get in touch with our admin team to complete a telephone referral form on 01384 324675.
Please note: If you are re-referring a child who has been seen by Dudley Speech and Language Therapy service in the last six months, you do not need to complete these forms. Please email/phone the department to discuss the re-referral.
School Age Speech and Language Therapy Referrals
Professionals: Please choose the approproiate form below and return to the address/email listed above. Please ensure you have completed all sections of the referral request form. Pages 4-6 must be completed in conjunction with the child/young person's educational setting, and evidence for the assess/plan/do/review model must be included. If the required evidence is not submitted with the referral request form, we will return the referral form to you.
Dysphagia Speech and Language Therapy Referrals
Professionals: Please download and complete the form below and return it to us at the address/email listed above.


